Brachioradial Pruritus as a Harbinger of Syrinx in Chronic Spinal Cord Injury: A Case Report

Abstract This case describes a 56 year old man with known thoracic spinal cord injury undergoing evaluation for a pruritic rash on the dorsolateral aspect of his forearms with no upper extremity neuromuscular symptoms. Common diagnoses were considered and treated with little success. The diagnosis o...

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Bibliographic Details
Published in:PM & R 2017-03, Vol.9 (3), p.311-313
Main Authors: Skelton, Felicia, MD, Frontera, Joel E., MD
Format: Article
Language:English
Subjects:
Cervical Vertebrae
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Physical Medicine and Rehabilitation
Pruritus - etiology
Spinal Cord Injuries - complications
Syringomyelia - diagnostic imaging
Syringomyelia - etiology
Thoracic Vertebrae
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Summary:Abstract This case describes a 56 year old man with known thoracic spinal cord injury undergoing evaluation for a pruritic rash on the dorsolateral aspect of his forearms with no upper extremity neuromuscular symptoms. Common diagnoses were considered and treated with little success. The diagnosis of brachioradial pruritus (BRP) was made, and evaluation for possible causes revealed a large cervicothoracic syrinx. To our knowledge, BRP has not been previously described as the presenting sign of post-traumatic syringomelia. This patient’s clinical course will be delineated, as well as a brief review of BRP and its relationship to other cervical spine pathologies.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2016.08.005